Sx Flashcards
1
Q
Sx:
Sore throat, sneezing, aversion to cold, fever, slight sweating, tonsillitis, thirst, floating-rapid pulse
Dx:?
A
Dx: Wind-Heat
2
Q
What are the four levels?
A
Wei (defensive Qi)
Qi
Ying (nutritive Qi)
Xue (Blood)
3
Q
How is an interior-Dz Dx’d?
Sx/ ?s/ etc
A
Interrogation
4
Q
How is an exterior Dz determined?
Sx vs Interrogation
A
Sx
5
Q
How do EPF enter the body?
A
Skin, nose, or mouth (lungs)
6
Q
Is skin more prone to W-C or to W-H?
A
Skin is more prone to W-C
7
Q
Are nose and mouth more prone to W-C or to W-H?
A
W-H is more likely to invade nose and mouth
8
Q
Sx arise suddenly and change rapidly…. What is it?
A
Exterior Wind
9
Q
Contraction, pain, watery discharge… What is it?
A
Exterior Cold
10
Q
Turbid, sticky discharges, gradually made worse….what is it?
A
Exterior Damp Invasion
11
Q
Mental restlessness…. What could it be if combined with thirst, feeling of being hot?
A
EPF Heat/ Fire
12
Q
What are the defining characteristics of exterior wind cold as opposed to other cold Sx?
A
Arrises suddenly
Not relieved by covering oneself (Aversion to Cold)
Fever
13
Q
What kind of cold is chronic, and is relieved by covering oneself?
A
Yang Deficiency
14
Q
Aversion to cold (subjective) combined SIMULTANEOUSLY with an objective fever is a general Sx of what?
A
EPF
15
Q
What causes aversion to cold?
A
Obstruction of the cou lis by external wind
16
Q
What is the difference betweenAversion to Wind, Fear of Cold, Shivers, and Aversion to Cold?
A
Fear of cold: patient can relieve the sensation of cold by staying indoors and warm
Aversion to Wind: goose pimples, hates wind, stays indoors
Aversion to cold: very hard for patient to relieve the feeling of cold.
Shivers: same as aversion plus shivering
17
Q
TCM fever vs Western Fever
A
TCM: heat emitting from patient’s skin
Western: body temperature increased significantly
18
Q
Is palm heat considered full heat or empty heat?
A
Empty
19
Q
Aversion to cold shows that EPF is where?
A
Still on exterior
20
Q
Is Aversion to Cold always a Sx of EPF?
A
Yes
21
Q
What is fever a struggle between?
A
Upright Qi
Vs
EPF
(If either weakens, fever will reduce therefore could be good or bad)
22
Q
Does Fever indicate W-C or W-H?
A
Neither- it is simply a Sx of struggle b/w upright Qi and EPF
23
Q
What is the order of invasion of EPF?
A
Order:
Skin, superficial connecting channels, connecting channels, main channels, organs
24
Q
Sx of EPF Cold Invading Stomach?
A
Acute epigastric pain, vomitting, no other exterior signs, some other cold signs.
25
Sx of EPF Cold invading SI/ LI?
No external Sx.
| Acute diarrhoea, abdominal pain, cold Sx
26
Sx of EPF Cold invading Uterus?
No exterior Sx. Acute dysmenorrhoea.
27
Where does EPF wind invade?
1: Cou-lis, Defensive Qi of Lungs
2: Muscles and Channels
3: Joints
28
Sx:
Aversion to cold, sore throat, sneezing, fever, runny nose, occipital stiffness, floating pulse.
Cause?
Location?
EPF Wind
| Lung's Wei Qi and/ or Cous-Lis
29
Sx: Stiffness in the limbs, rigidity and contraction of the muscles with sudden onset.
Cause?
Location?
EPF Wind
| Has invaded Muscles and Channels
30
Sx: pain that moves from joint to joint, esp. in upper part of body.
Cause?
Location of Dz?
EPF wind in Joints.
31
Where can EPF cold invade?
1. Muscles and Sinews
2. Joints
3. Stomach
4. SI/ LI
5. Uterus
32
Sx:
Stiffness, contraction on muscles, pain, chilliness, aversion to cold, sudden onset
Cause?
Location?
EPF Cold
| In the Muscles and Sinews
33
Sx:
Severe pain in a joint as in Cold Painful Obstruction Syndrome
Cause?
Location?
EPF Cold in the Joints
34
Sx:
Sudden Epigastric pain with vomiting
Cause?
Location?
EPF Cold in Stomach
35
Sx:
Sudden abdominal pain with diarrhoea
Cause?
Location?
EPF Cold in SI/ LI
36
Sx:
Sudden acute dysmenorrhoea.
Cause?
Location?
EPF Cold in Uterus
37
Sx:
Aversion to cold, fever, sweating, headache, dark urine, floating-rapid pulse.
Cause?
EPF Summer-Heat
38
Where can EPF Damp invade?
1. Muscles and Sinews
2. Joints
3. Lower Jiao
4. Skin
5. Sp/ St
39
Sx:
Sudden feeling of heaviness of the limbs, dull ache of muscles
Cause?
Location?
EPF Damp in muscles and sinews.
40
Sx:
Pain, heaviness, swelling of joints as in Damp Painful Obstruction Syndrome, starts suddenly.
Cause?
Location?
EPF Damp in joints
41
Sx:
Acute urinary discomfort and/ or acute vaginal discharge
Cause?
EPF Damp in Lower Jiao
42
Sx:
Acute skin Dz with vesicles or papules
Cause?
EPF Damp in skin
43
Sx:
Tongue shows rootless coating, or no coating in the centre, epigastric pain, thirst, dry stools.
Dx?
St Yin Xu
44
How do Beta-Blockers affect the pulse?
Make it slower and deeper
45
How do tranquilizers affect the pulse?
Make it sluggish and reluctant
46
What do antibiotics do to the tongue?
Make it patchy/ peeled in spots.
47
What do oral steroids do to the tongue?
Make it swollen and red
48
What Dx can be attributed to chronic canabis use?
Kidney Xu
Zhi (willpower of the kidneys) Xu
Heart Blood issues
Yi (intellect of Spleen) issues
49
What TCM Dx could be attributed to chronic cocaine abuse?
Phlegm-Fire in the Heart
50
What TCM DX could be caused by LSD use?
Heart Fire
51
What TCM Dx can use of Ecstasy lead to?
Weak Kidneys
| Obstruction of Heart Orifices
52
What change can a barrel chest and epigastrium indicate?
Excess of the Stomach
53
Very large upper thighs that are out of proportion with the rest of the body could indicate which TCM condition?
Spleen Deficiency
54
A thin and emaciated body can indicate which longstanding conditions?
Blood or Yin deficiency
55
An overweight body can indicate which TCM condition?
Sp Yang Xu with Damp/ Phlegm retention
56
What could weak or stiff sinews indicate?
Liver disharmony
57
What can hardening of the blood vessels indicate?
Heart disharmony
58
What could weak or flaccid muscles indicate?
Spleen Xu
59
What could flaccid skin indicate?
Lung Qi Xu
60
What could brittle bones indicate?
Kidney Xu
61
Pronounced tremors and convulsions.... Dx?
Full Wind (often from Heat)
62
Small tremors and tics... Dx?
Empty Wind (Blood and/or Yin Xu)
63
Paralysis of a limb.... Dx?
Internal wind, related to Liver
64
Stiffness and rigidity... Empty or full pattern?
Full pattern, possibly Qi Stasis, Blood Stasis, or in extreme cases, external wind.
65
Hair falling out...Dx?
Blood or Kidney Essence issue
66
Prematurely grey hair... Indicates decline of?
Kidney essence
67
Thickness and lustre of hair are related to which organ?
Liver, esp Liver Blood
68
A complexion with good moisture is said to have what?
Stomach Qi
69
If the complexion is glowing, bright, lively, it is said to have what?
Spirit
70
What are the four attributes of a normal complexion?
Lustre
Subtle slightly reddish hue
'Contained' or 'veiled' colour
Moisture
71
What are the 6 pathological face colours?
```
Black
Blue
Green
Red
Yellow
White
```
72
What does a white complexion indicate?
Blood xu- dull white
Yang Xu - bright white
Yang Xu with Cold- bluish white
73
What complexion colour would indicate St / Sp Xu?
Sallow yellow
74
Sx: D-H, w/ H++
Complexion?
Bright orange-yellow
75
Smoky, dull yellow complexion...
| Dx?
Damp Heat with prevalence of Dampness
76
Withered, dry, yellow complexion
| Dx?
St/ Sp Heat
77
Complexion for Cold-Damp in St and Sp?
Dull, pale yellow
78
Ash-like yellow complexion...Dx?
Longstanding dampness
79
Pale yellow complexion surrounded by red spots...
| Dx?
Spleen Xu and stasis of Liver Blood
80
Clear complexion but with moist yellow between eyebrows...Dx?
Stomach Qi recovering after an illness
81
Dried up, withered looking yellow colour between the eyes
| Dx?
Poor prognosis
82
Entirely red face
| Dx?
Full heat
83
Red cheekbones
| Dx?
Empty heat
84
Green face
| Dx?
Liver patterns
Interior cold
Pain
Interior wind
85
Pale greenish under eyes
| Dx?
Liver Qi stasis
| Liver Blood Xu
86
Greenish cheeks
| Dx?
Liver Qi Stasis
Liver Blood stasis
Cold in Liver Channel
Liver Wind
87
Green complexion with a red tinge
| Dx?
Lesser-Yang pattern
88
Green complexion with red eyes
| Dx?
Liver Fire
89
Yellow-green cheeks
| Dx?
Phlegm with Liver-Yang Rising
90
Green nose
| Dx?
Qi Stagnation with abdominal pain
91
Dark reddish-green complexion
| Dx?
Stagnant liver Qi turning into heat
92
Grass-green complexion
| Dx?
Collapse of Liver Qi
93
What does a dark blue colour under the eyes indicate?
Cold in the liver chanel
94
What does a white-blue complexion indicate?
Cold or chronic pain
95
What does a dull bluish complexion indicate?
Severe heart-yang xu with blood stasis
96
What does a bluish complexion indicate in children?
Liver Wind
97
What does a black and moist complexion indicate?
Cold, pain, or kidney Dz
98
What does a black, dried up, burnt looking complexion indicate?
Heat, pain, Kidney Dz, esp. Kidney Yin Xu
99
What does a floating colour in the complexion indicate?
Exterior
Mild
Yang
100
If a colour is deep in the complexion what do we know about the condition?
Interior
Severe
Yin
101
If a colour is distinct in the complexion what do we know about the condition?
Yang condition
| Upright Qi still intact
102
If a colour is obscure in the complexion what do we know about the condition?
Yin condition
| Upright Qi exhausted
103
If a colour is thin in the complexion what do we know about the condition?
Xu
104
If a colour is thick in the complexion what do we know about the condition?
Fullness/ excess
105
If a colour is scattered in the complexion what do we know about the condition?
New Dz
106
If a colour is concentrated in the complexion what do we know about the condition?
Old Dz
107
If a colour is moist in the complexion what do we know about the condition?
Good prognosis
108
If a colour is dry in the complexion what do we know about the condition?
Poor prognosis
109
Which three types of conditions can we gather information about from a patient's complexion?
1. Actual disharmonies
2. Constitutional traits
3. Aetiological factors (ie: prenatal shock, etc)
110
What could a greenish colour on the tip of the nose tell us?
Liver (green colour) invading spleen (tip of nose is spleen area), therefore the spleen issues are caused by and therefore secondary to the liver issues.
111
If the eyes are dull or clouded, what might be wrong?
```
Disturbed mind (possibly a long time suffering)
Essences of the five yin organs have been weakened
```
112
Which organ are the corners of the eyes related to?
The heart
113
Which part of the eye represents the health of the kidney?
The pupil
114
Which part of the body is the upper eyelid related to?
Spleen
| Greater Yang Channels
115
Which part of the eye relates to the stomach?
Lower eyelid
116
The sclera relates to which organ, and can show which things?
The lungs
Lesions of the back or chest esp. haematomas, the upper part reflecting the back, the lower reflecting the chest.
Red veins in the sclera with purple spots on them, and green/ blue/ purple/ red spots on the end are classic for this
117
Which part of the eye relates to the liver?
The iris
118
What does a yellow colour in the sclera indicate?
Damp heat in the lungs (earth overtaking metal)
119
What would be indicated by redness, pain and swelling of the entire eye?
EPF Wind-Heat
Or
Liver-Fire Rising
120
What would a swelling under the eyes indicate?
Kidney defficiency
121
What would a dull white colour in the corner of the eyes indicate?
Heat
122
What would a pale-white colour in the corners of the eyes indicate?
Blood defficiency
123
What would be indicated by eyes with grey or scattered spots like clouds indicate?
Qi is injured,and therefore stagnant.
124
What is indicated by deep black spots in the eyes?
Injury of blood creating stasis
125
What is indicated by clearly visible, spiral shaped red veins in the eyes?
Pain
126
What organ does the bridge of the nose correlate to?
The liver
127
What organ does the tip of the nose correlate to?
The spleen
128
If the tip of the nose is green or blue, what is indicated?
Cold in Spleen, with abdominal pain
129
What does a yellow nose-tip indicate?
Damp heat in Spleen
130
What does a white nose-tip indicate?
Blood Defficiency
131
What does a red nose-tip indicate?
Heat in lungs and spleen
132
What does a grey nose-tip indicate?
Impairment of water movement
133
What does a greenish tone on the bridge of the nose indicate?
Liver Qi Stagnation
134
Sx: greyish or dark at bridge of nose.
| Dx?
Liver Blood Stasis
135
Sx:
Red at bridge of nose
Dx?
Liver Fire
136
Sx: nose slightly moist and shiny
| Dx?
Good prognosis
137
Sx: dry nose
| Dx?
Stomach or Large Intestine Heat
138
Sx:
Dry and Black nose
Dx?
Toxic heat
139
Sx: clear watery discharge from nose
| Dx?
Cold pattern
140
Sx: thick yellow discharge from nose
| Dx?
Heat Pattern
141
Sx:Flaring of the nostrils with high fever
| Dx?
extreme heat in lungs
142
Deep red pharynx
| Dx?
Interior OR exterior heat
143
Pale red pharynx
| Dx?
Empty heat
144
Acute pain, redness and swelling of the throat
| Dx?
Wind-Heat Invasion
145
Chronic pain, redness, and swelling of the throat.
| Dx?
Stomach heat
146
Chronically sore and dry throat that is not swollen or red.
| Dx?
Lung/ Kidney-Yin deficiency with empty heat
147
Pale-red throat
| Dx?
Empty heat affecting the lung/ Kidney channel
148
Erosion, redness and swelling of the throat
| Dx?
Toxic heat
149
Erosion, swelling, yellowish red throat.
| Dx?
Excess heat in Stomach and Intestines
150
Chronic erosion of throat that comes and goes:
| Dx?
Empty heat
151
Chronic dryness of throat with erosion and greyish ulcers
| Dx?
Severe yin deficiency
152
Chronic erosion of the throat with ulcers that have raised, hard edges:
Dx?
Blood stasis with Phlegm Heat
153
Swollen tonsils of normal colour
| Dx?
Retention of damp or phlegm on a background of Qi Deficiency
154
Chronically red and swollen tonsils
| Dx?
Heat or toxic heat often in the stomach / Large Intestine (Yang Ming) channel.
155
Acutely red and swollen tonsils
| Dx?
Invasion of Wind-Heat with accompanying Toxic Heat
156
Chronic redness and swelling of the tonsils that comes and goes
Dx?
```
chronic Stomach Heat
Or
Chronic Large Intestine heat
(Both yang ming)
OR
Empty-Heat in Lung channel
```
157
Acutely red and swollen tonsils with exudate
| Dx?
Invasion of Wind-Heat, complicated by Toxic Heat in Yangming (St & LI)
158
Greyish tonsils
| Dx?
Acute stage of glandular fever (Mononucleosis)
159
Pitting oedema of the hands
| Dx?
Lung-yang defficiency
160
Pitting oedema of the feet
| Dx?
Kidney Yang deficiency
161
Pitting oedema of the four limbs
| Dx?
Spleen Yang dificiency
162
Oedema of the four limbs that doesn't pit
| Dx?
Dampness
OR
Qi Stagnation
163
Acute oedema of the hands and face
Wind Water invading the Lungs
164
What can cause flaccidity of the four limbs?
Acute:
Lung Heat injuring body fluids
Chronic:
Damp Heat in Spleen and Stomach
Spleen and Stomach Deficiency
Kidney-Yin Deficiency
165
What can a severe case of flaccidity of the four limbs turn into?
Atrophy of the four limbs
166
Rigidity of the four limbs in the elderly
| Dx?
Liver Wind
167
Rigidity of the four limbs from internal causes
| Dx?
- Liver Yang Rising
- Liver Damp; Kidney Yin Deficiency
- Spleen Damp; Kidney Yang Deficiency
168
Acute rigidity of the four limbs
Invasion of EPF Wind
169
Rigidity of the four limbs accompanied by swelling and painful joints
Dx?
Painful Obstruction Syndrome with dampness and Phlegm
170
Inability to flex the joints
| Dx?
Phlegm with internal wind in the channels
171
Rigidity accompanied by pain in the joints or muscles, which is worse at night
Dx?
Blood stasis
172
Sx: White ears
| Dx?
Cold Pattern
173
Sx: Bluish or dark ears:
| Dx?
Pain
174
Sx: Dry, withered, dark ear lobes
| Dx?
Exhaustion of Kidney Qi, usually the Kidney Yin
175
Sx: Shiny and moist ear lobes
| Dx?
Good Prognosis
176
Sx: Swelling and pain of middle ear
| Dx?
Heat in Lesser Yang Channels
| GB, TH
177
Sx: Swollen Ear
| Dx?
EPF
178
Sx: Thin Ear
| Dx?
Qi or Blood Deficiency
179
Sx: Long and full lobe of ear
| Dx?
Strong constitution
180
Sx: Small ear lobes
| Dx?
Poor constitution
181
Sx: Pale, red, moist and shiny lips
| Dx?
normal, good state of spleen
182
Sx: Pale lips
| Dx?
Yang or Blood Deficiency
183
Sx: Red and dry lips
Dx:
heat in the Stomach and Spleen
184
Sx: Purple or bluish lips
| Dx?
Blood Stasis
185
Sx: Mouth slightly open
| Dx?
Empty pattern
186
Sx: Breathing through mouth
| Dx?
Lung-Qi Deficiency
187
Sx: greenish around the mouth
| Dx?
Liver-Blood Stasis, or Liver-Qi Stagnation
188
Sx: Swollen and painful gums
| Dx?
Stomach Heat
189
Sx: Swollen gums without pain
| Dx?
Empty heat of the stomach
190
Sx: Pale gums
| Dx?
Blood Deficiency
191
Sx: Moist teeth
| Dx?
good state of the kidneys
192
Sx: Dry teeth
| Dx?
Kidney Yin Deficiency
193
Sx: Bright and very dry teeth
| Dx?
heat in the Yang-Ming (Bright Yang) (Large Intestine and Stomach), esp febrile disease (fiery, inflamed, possibly seizures)
194
Sx: Dry and greyish teeth
| Dx?
empty heat from Kidney Yin Deficiency
195
Deep red pharynx
| Dx?
Interior or exterior heat
196
Pale red pharynx
| Dx?
Empty heat
197
Acute pain, swelling, redness of throat
| Dx?
Wind-Heat invasion
198
Chronic pain, swelling, redness of the throat
| Dx?
Stomach heat
199
Chronically sore or dry throat that is not swollen or red
| Dx?
Lung/ kidney yin deficiency with empty heat
200
Pale red throat (as opposed to pharynx)
| Dx?
Empty heat affecting the lung/ kidney channels
201
Erosion, redness, swelling of the pharynx?
Toxic heat
202
Erosion, swelling, yellow-red colour of pharynx
| Dx?
Full heat in Stomach and Intestines
203
Chronic erosion of pharynx that comes and goes
| Dx?
Empty heat
204
Chronic dryness and erosion of pharynx with greyish ulcers
Severe yin xu
205
Chronic erosion of the pharynx with ulcers that have raised, hard edges
Dx?
Blood stasis with Phlegm-Heat
206
When are greyish tonsils most often seen?
In the acute stages of mono (glandular fever)
207
Swollen tonsils of normal colour
| Dx?
Retention of Damp or Phlegm with Qi Deficiency
208
Chronically red and swollen tonsils
| Dx?
Heat or Toxic Heat, generally in the Stomach and/or Large Intestine channel
209
Acutely red and swollen tonsils
Dx?
Invasion of Wind-Heat with accompanying Toxic Heat
210
Chronic redness and swelling of the tonsils *that comes and goes*
Dx?
Either chronic heat in the Stomach and /or Large Intestine channel or Empty-Heat in the Lung channel
211
Acutely red and swollen tonsils with exudate
| Dx?
Invasion of Wind-HEAT, complicated by Toxic Heat in the Stomach and/or Large Intestine channel
212
Greyish tonsils:
| Dx?
Acute stage of glandular fever (mononucleosis)
213
Why do the limbs indicate the state of the Spleen and Stomach?
Spleen - b/c it influences the muscles
| Stomach - b/c it transports food and essences to the limbs
214
what do flabby muscles indicate?
Deficiency of the Stomach and Spleen
215
What is swelling of the joints of the four limbs generally due to?
Painful Obstruction (Bi) Syndrome, especially from Damp, possibly with phlegm, often from liver-blood deficiency.
216
Swelling joints that are red and hot to the touch
| Dx?
Retention of damp heat in the joints
217
What are the two types of Odema?
Water Odema
| Qi Odema
218
What is water Oedema due to?
Yang Deficiency
219
Is pitting oedema water oedema or qi oedema?
Pitting oedema is always Water Oedema
220
Skin pits and changes colour upon pressure with finger tips
| Dx?
Water oedema, which is always due to Yang Deficiency
221
Pitting oedema in the hands
Dx? (With location)
Lung-Yang Deficiency
222
Pitting oedema in the feet
| Dx?
Kidney Yang Deficiency and/or Spleen Yang Deficiency
223
What generally causes acute flaccidity of the four limbs?
Invasion of Wind-Heat in the lungs
224
Non-pitting oedema of the four limbs
| Dx?
Qi Stagnation affecting the muscles
or
dampness of the muscles
225
Acute oedema of the hands and face
| Dx?
Invasion of the lungs by wind-water, which is a type of wind-cold.
226
What are three potential causes of flaccidity of the limbs that is not acute?
```
Damp-Heat injuring the body fluids
Or
Stomach and Spleen Deficiency
Or
Kidney-Yin Deficiency
```
227
Rigidity of the limbs accompanied by swelling and pain of the joints
Dx?
Painful Obstruction syndrome with Dampness and Phlegm.
228
Inability to flex the joints in the elderly
Dx?
(3 causes)
```
Phlegm with internal wind in the channels
OR
Liver Wind
OR
If acute, invasion of external wind
```
229
Rigidity accompanied by pain in the joints or muscles, worse at night
Dx?
Blood Stasis
230
Acute rigidity of the limbs
| Dx?
Invasion of external wind
231
Causes of Rigidity of the Limbs?
```
Invasion of external wind
Liver Yang Rising
Liver Wind (elderly)
Phlegm with internal wind in channels (elderly)
Painful Obstruction Syndrome with Ph-D
Blood Stasis
Liver and Kidney Yin Deficiency
Spleen and Kidney Yang Deficiency
```
232
What is the difference between paralysis of a limb and rigidity?
Inability to use muscles or joint (paralysis)
Vs
Inability to flex the joint (rigidity)
233
What are some of the underlying complexities leading to a stroke?
Phlegm
Internal Wind
Internal Heat
Qi and Blood or Yin Deficiency
234
What are the main deficiency type causes of paralysis of the limbs?
Stomach and Spleen deficiency
Qi and Blood Deficiency
Kidney and Liver Yin Deficiency
235
What are the main excess causes of paralysis of the limbs?
Retention of damp in the muscles
Blood stasis
Phlegm and internal wind in the channels
236
Acute, self-resolving contraction of the four limbs
| Dx?
Invasion of Wind
237
Non-acute contraction of the four limbs
```
Dampness in the muscles
Or
Heat injuring fluids in the muscles
Or
Liver Blood Deficiency
Or
Liver Yin Deficiency
```
238
Tremor of the hands
| Dx?
Liver Wind
239
Tremor of the four limbs in the elderly
| Dx?
Liver Wind and Phlegm affecting the channels and sinews
240
Fine tremor in women
Liver-Wind deriving from Liver-Blood Deficiency
Or
Liver and Kidney Yin Deficiency, esp in Elderly
241
Mild, fine tremor of the limbs
| Dx?
General Qi and Blood Deficiency
242
Spasticity and tremor in febrile disease
| Dx?
Liver Wind or Empty wind from Yin Depletion
243
General Tremor or Spasticity with no other specifics, but some yang or liver Sx
Dx?
Liver - Yang Rising
244
Pale nails
| Dx?
Blood Xu
245
Bluish nails
| Dx?
Blood Stasis of Liver
246
Ridged Nails
| Dx?
Liver-Blood Xu
247
Bluish venules on the Thenar Eminance
| Dx?
Cold in the Stomach
248
Bluish and short venules on the Thenar Eminance
| Dx?
Empty pattern of cold in the stomach
249
Red venules on the thenar eminance
| Dx?
heat in the stomach
250
Purple venules on the thenar eminance
| Dx?
Blood stasis in the stomach
251
Is the left or right index finger examined in baby boys/girls?
Girls are Right
| Boys are Left
252
What are the three gates in a child's index finger, and where are they located?
Gate of Wind (crease between palm and finger)
Gate of Qi (crease just distal to the palm/finger crease)
Gate of Life (crease just proximal to tip of finger)
253
Which direction do we rub a child's finger in order to Dx?
Towards the body, looking for venules.
254
What do we look for in the venules on a child's finger besides how far they extend?
Colour:
Blue - cold pattern
Red - heat pattern
255
Dry Skin
| Dx?
Liver blood deficiency
256
Itchy Skin
| Dx?
Wind
257
Bright yellow skin
| Dx?
Yang Jaundice from Damp-heat
258
Dull yellow skin
Yin jaundice from Damp-Cold
259
Red venules on skin
Heat in blood
260
Purple venules on skin
| Dx?
Stasis of Blood
261
Green venules of skin
| Dx?
Pain
262
Blue venules of skin
| Dx?
Cold
263
Papules on skin
| Dx?
Heat in lungs or stomach or both
264
Vesicles on skin
| Dx?
Dampness
265
Macules on skin
| Dx?
Blood level disharmony
Red- heat in blood
Purple- blood stasis
Bluish - cold in blood
266
What are the four main items we observe in a tongue?
Colour
Shape
Coating
Moisture
267
What does the body colour of the tongue reflect the condition of overall?
Blood
Nutritive Qi / Yin organs
Heat vs Cold
Yin vs Yang
268
What does the body shape of the tongue reflect overall?
The state of blood and nutritive qi as well as fullness or deficiency
269
what does the coating of the tongue reflect overall?
yang organs
Heat vs Cold
Fullness vs Deficiency
270
What does the moisture of the tongue reflect?
Body Fluids
271
Which organ does the (practitioner) left side of the tongue reflect?
Gallbladder
272
Which organ does the practitioner's right (patient's left) side of the tongue reflect?
Liver
273
Which organ does the very front of the tongue reflect?
Heart
274
Which organ does the area just behind the very front of the tongue reflect?
lungs
275
Which organs does the middle of the tongue reflect?
Stomach and Spleen
276
Which organs are reflected on the rear of the tongue?
Kidneys
Bladder
Small and Large Intestines
277
What does a pale tongue indicate?
Yang or Blood Deficiency
278
What does a pale, very wet tongue indicate?
Yang Deficiency
279
What does a pale and dry tongue indicate?
Blood Deficiency
280
What does a tongue with pale sides only indicate?
Liver Blood deficiency
281
What does a tongue with orange tinted sides indicate?
Severe liver-blood deficiency
282
What does a red tongue indicate?
Heat
283
What does a red tongue with coating indicate?
Full Heat
284
What does a red tongue with no coating indicate?
Empty heat
285
What does a tongue with a red tip indicate?
Heat in heart, either empty or full
286
What do red sides on a tongue indicate if there is some coating on the tongue?
Liver fire or GB heat
287
What does a tongue that has red sides with no coating indicate?
Liver Yin Deficiency with empty heat
288
What is indicated by a tongue with a red centre?
With Coating: Full Heat of the Stomach
| Without Coating: Empty Heat of Stomach
289
What is indicated by red points/ spots on the tip of a tongue?
Heart-Fire
290
What do red points or spots indicate if they are on the sides of the tongue?
Liver Fire
291
What do red points or spots on the root of the tongue indicate?
Heat in the lower burner
292
What do red points or spots indicate if they are in or around the centre of the tongue?
Stomach heat
293
What does a purple tongue indicate?
Blood stasis
294
What does a reddish purple tongue indicate?
Blood stasis from heat
295
What does a bluish-purple tongue indicate?
Blood stasis from cold
296
What does a tongue with reddish-purple sides indicate?
Liver-Blood stasis
297
What does a tongue with bluish purple sides indicate in a female?
Blood stasis in the uterus
298
What does a tongue that is purple in the centre indicate?
Blood stasis in the stomach
299
What does a thin, pale tongue indicate?
Blood deficiency
300
What does a thin, red tongue indicate?
Yin deficiency
301
What does a swollen tongue indicate?
Dampness or Phlegm
302
What does a partially swollen tongue indicate?
Heat
303
What does a tongue that is swollen with a red tip indicate?
Severe heart fire
304
What does a tongue that is swollen with red sides indicate?
Liver Fire
305
What does a tongue that is swollen on the sides and pale indicate?
Spleen deficiency
306
What does a tongue that has swelling in the front third of the tongue only indicate?
Phlegm in the lungs
307
What does a tongue that is stiff indicate?
interior wind
308
What does a flaccid tongue indicate?
Deficiency of the Body Fluids
309
What does a tongue that is long indicate?
Heat
310
What does a tongue that is short and pale indicate?
Severe yang deficiency
311
What does a tongue that is short and red without coating indicate?
Severe Yin Deficiency
312
What does a tongue that is cracked indicate?
Full heat or yin deficiency
313
What does a quivering tongue indicate?
Spleen-Qi deficiency
314
What does a deviated tongue indicate?
Interior wind
315
What does a tooth-marked tongue indicate?
Spleen-Qi Deficiency
316
Does the tongue coating reflect the yin or the yang organs?
Yang, especially the stomach
317
What does a normal tongue coating look like
Thin and white
318
What does a thick coating indicate?
EPF
319
Does a thicker or thinner coating indicate a stronger EPF?
Thicker
320
What is indicated when a tongue coating is without root?
Stomach Qi Deficiency
321
What condition is indicated by the partial absence of coating on a tongue?
Patchy - often from steroid use
| Otherwise it's Stomach Yin Deficiency
322
What does a total absence of coating on a red tongue indicate?
Stomach and /or Kidney Yin deficiency with empty heat.
323
What does a thick white tongue coating indicate?
Cold EPF
324
What does a yellow tongue coating indicate?
Full-Heat Pattern
325
What does a grey and black tongue coating on a wet tongue indicate?
Extreme cold
326
What does a grey and black coating on a dry tongue indicate?
Extreme heat
327
What does the moisture of the tongue reflect?
The state of the body fluids
328
Is a normal tongue slightly moist?
Yes
329
What does it mean if a tongue is too wet?
Yang deficiency, dampness
330
What does it mean if a tongue is too dry?
Heat or yin deficiency
331
What does it mean if a tongue is sticky or slippery?
Dampness or phlegm
332
What are the four secondary channels?
Connecting (Luo Mai)
Muscle (Jing Jin)
Divergent (Jing Bie)
Cutaneous Regions
333
What are the three types of connecting channels?
Minute Connecting Channels
Superficial Connecting Channels
Blood or Deep Connecting Channels
334
If the connecting channels are greenish, what can we gather?
Qi Stagnation or Pain along the channel
335
If the connecting channels are reddish, what can we gather?
Heat in the channel
336
If the connecting channel is bluish, what can we gather?
Cold in the channel
337
If the connecting channel has a feeling of heat what can we gather?
Retention of heat in the channel
338
If the connecting channel has a feeling of cold what can we gather?
Retention of cold in the channel
339
If there is muscle atrophy or flaccidity along a channel what can we gather?
A deficient condition, often seen in Atrophy syndrome.
340
Muscle rigidity or hardness along the channel - what can we gather?
Excess condition due to retention of cold in the channel or too Qi Stasis.
341
What are the 10+2 Questions?
1. Aversion to cold and fever
2. Sweating
3. Head and body Sx
4. Chest and abdomen Sx
5. Food and taste
6. Stools and Urine
7. Sleep
8. Hearing and Tinnitus
9. Thirst and Drink
10. Pain
- -----
11. Gyno for women
12. Child stuff for kids
342
Which two empty conditions may cause pain?
Qi and Blood Deficiency
| Consumption of Body Fluids from yin deficiency
343
Which 5 Full conditions can cause pain?
1. EPF
2. Interior Cold or Interior Heat
3. Qi Stagnation or Blood Stagnation
4. Retention of Food
5. Obstruction by Phlegm
344
What quality does pain have in an empty condition?
Dull and lingering
345
What quality does pain tend to have in a full condition?
Sharp
346
What quality does pain from cold tend to have?
Cramping
347
What quality does pain from heat tend to have?
Burning
348
What kind of onset does pain in an empty condition entail?
Slow, gradual
349
If pain is aggravated by vomiting is it an empty, full, heat, or cold type condition?
Empty or Cold
350
Is a hot condition better or worse with movement?
Worse
351
Is a full condition better with movement or rest?
Full conditions are better with movement
352
Is an empty condition better or worse with food?
Empty conditions are better with food.
353
What quality does the pain of Qi Stagnation have?
Distending or bloating
Wandering
Recurring
354
What quality does pain from blood stasis have?
Severe, boring, stabbing pain in a fixed location.
355
What would be the symptomatic difference between cough from Liver Fire vs cough from Lung Heat?
Liver fire:
cough arrives suddenly, no Hx /evidence of EPF but frequently Hx of emotional change or insufficient rest. Clear bouts of incessant or episodic coughing with choking quality which redden eyes and face. Pain extends to hypochondriac region.
Lung Heat:
Slower onset, Hx of exposure to EPF one to several days earlier. Pain is generally isolated to chest.
356
What type of pain does Liver Yang Rising cause?
Rebellious Qi Sx
Chronic headaches
Distending and Throbbing pain
357
What kind of pain does Cold cause?
Both full and empty cold cause a cramping, spastic pain that is usually alleviated by warmth and worsened with more cold.
358
What kind of pain does heat cause?
None unless accompanied by damp
359
What kind of pain does Damp-Heat cause?
Burning pain with feeling of heaviness or fullness in the Forehead, epigastrium, abdomen, hypochondrium, hypogastrium, Uterus, Bladder, or Joints.
360
What kind of pain is caused by retention of food?
Epigastric or abdominal pain that is intense with a feeling of fullness.
More Children than adults
361
When does phlegm cause pain?
When its in the joints, head, epigastrium or abdomen.
362
What kind of pain does EPF wind cause?
Occipital Headache
Stiffness
Wandering Pain
Pain that ebbs and flows
363
What types of conditions are relieved by eating?
Empty
364
What kinds of condition would be aggravated by eating?
Full
365
What does a lack of appetite indicate?
Spleen Qi Deficiency
366
Excessive Hunger
| Dx?
Stomach Heat
367
Feeling of fullness
| Dx?
Dampness or retention of food
368
Sharp pain
| Dx?
Blood stasis
369
Feeling of heaviness
| Dx?
Damp
370
Preference for hot food and drink?
Cold pattern
371
Preference for Cold food and drink?
Heat pattern
372
Constant bitter taste
| Dx?
Full heat in liver
373
Bitter taste in morning, insomnia
| Dx?
Full heat in heart
374
Sweet taste
| Dx?
Spleen
375
H/A
Occipital, neck, upper back
Which of the 6 levels/ channel pairs is affected?
Great (Tai) Yang
| SI/ UB
376
Headache
Forehead
Which of the 6 levels/ channel pairs is affected?
```
Yang Brightness (Yangming)
LI/ St
```
377
Headache
One or both sides of head, temples, ears
Which of the 6 levels/ channel pairs is affected?
Lesser (Shao) Yang
GB/ SJ
378
Headache
Heavy or Distending sensation around upper part of head
Which of the 6 levels/ channel pairs is affected?
Greater (Tai) Yin
| Lu/ Sp
379
Headache that affects the inside of the head even the teeth
Which of the 6 levels/ channel pairs is affected?
Lesser (Shao) Yin
Ht/ K
380
Headache that affects the vertex of the head
Which of the 6 levels/ channel pairs is affected?
Terminal (Jue) Yin
Liv/ Pc
381
What are the pulse points on the right wrist, distal to proximal?
Cun: Lu/ LI
Guan: Sp/ St
Qi: Pc/ SJ / LJ / K yang
382
What are the pulse points on the left wrist, distal to proximal?
Cun: H / SI
Guan: Liv/ GB
Qi: K/ Bl / K Yin
